Search › California › 171M00000X
Omaru Fullah
NPI 1437283439 · on the registry since 2007
Practice
- Address
- 8836 S Vermont Ave
Los Angeles, CA 90044 - Phone
- (323) 593-5300
- Organisation at this address
- Southern California Health & Rehabilitation Program
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 57
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 225400000X
225400000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California